WAJ Membership Info Update

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Media-Guide

 

 

 

Please use this form to update your Bio Information for your WAJ membership. You may also submit a  new headshot. The email that you provide will be used for all WAJ Member communications.

 

 

    * Required
    *First Name:

    *Last Name:

    Title

    Street Address:

    City:

    State:

    ZIP Code:

    Work Phone:

    Home Phone:

    Cell Phone

    *Email:

    Primary Media Outlet:

    Additional Outlet

    If you have a new headshot, attach it here. Acceptable file types are: JPEG, JPG, PNG, Max file size: 1MB